Table of contents
Acute liver failure
What's new
Updated 2023 ACG guidelines for the management of acute liver failure.
Background
Overview
Guidelines
Key sources
Screening and diagnosis
Classification and risk stratification
Diagnostic investigations
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Evaluation for AIH
Evaluation for drug-induced liver injury
Evaluation for malignancy
Evaluation for Wilson's disease
Evaluation for Budd-Chiari syndrome
Evaluation for other etiologies
Screening for hepatic encephalopathy
Viscoelastic testing
Diagnostic procedures
Respiratory support
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Mechanical ventilation
Medical management
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General principles (goals of care)
General principles (precautions)
Fluid resuscitation
Albumin
Vasopressors
Inotropes
Corticosteroids
N-acetylcysteine
Management of metabolic derangements
Management of coagulopathy
Management of infection
Management of portopulmonary hypertension
Management of vascular complications
Management of hepatic encephalopathy
Inpatient care
Nonpharmacologic interventions
Therapeutic procedures
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RRT
Pleurodesis
Extracorporeal liver support
Surgical interventions
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Liver transplantation (management of deceased donor liver transplant)
Liver transplantation (peri-transplant management)
Specific circumstances
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Pregnant patients
Patients with HBV infection
Patients with mushroom poisoning